Update on Prognostic and Predictive Markers in Mucinous Ovarian Cancer

This review includes state-of-the-art prognostic and predictive factors of mucinous ovarian cancer (MOC), a rare tumor. Clinical, pathological, and molecular features and treatment options according to prognosis are comprehensively discussed. Different clinical implications of MOC are described according to the The International Federation of Gynecology and Obstetrics (FIGO) stage: early MOC (stage I-II) and advanced MOC (stage III-IV). Early MOC is characterized by a good prognosis. Surgery is the mainstay of treatment. Fertility-sparing surgery could be performed in patients who wish to become pregnant and that present low recurrence risk of disease. Adjuvant chemotherapy is not recommended, except in patients with high-risk clinical and pathological features. Regarding the histological features, an infiltrative growth pattern is the major prognostic factor of MOC. Furthermore, novel molecular biomarkers are emerging for tailored management of early-stage MOC. In contrast, advanced MOC is characterized by poor survival. Radical surgery is the cornerstone of treatment and adjuvant chemotherapy is recommended, although the efficacy is limited by the intrinsic chemoresistance of these tumors. Several molecular hallmarks of advanced MOC have been described in recent years (e.g., HER2 amplification, distinct methylation profiles, peculiar immunological microenvironment), but target therapy for these rare tumors is not available yet.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:15

Enthalten in:

Cancers - 15(2023), 4 vom: 12. Feb.

Sprache:

Englisch

Beteiligte Personen:

Borella, Fulvio [VerfasserIn]
Mitidieri, Marco [VerfasserIn]
Cosma, Stefano [VerfasserIn]
Benedetto, Chiara [VerfasserIn]
Bertero, Luca [VerfasserIn]
Fucina, Stefano [VerfasserIn]
Ray-Coquard, Isabelle [VerfasserIn]
Carapezzi, Annalisa [VerfasserIn]
Ferraioli, Domenico [VerfasserIn]

Links:

Volltext

Themen:

Journal Article
Molecular features
Mucinous ovarian cancer
Ovarian cancer
Pathology
Predictive factors
Prognosis
Prognostic factors
Review
Surgery
Survival
Target therapy

Anmerkungen:

Date Revised 28.02.2023

published: Electronic

Citation Status PubMed-not-MEDLINE

doi:

10.3390/cancers15041172

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM35337654X